The transverse figure-of-eight suture for securing the nail

Abstract

Various techniques have been described for securing the nail plate back in its anatomic position after trauma or for reconstructive exposure. The figure-of-eight suture technique uses the paronychial folds and notches in the distal aspect of the nail plate to create both ventral and proximal forces to secure the nail plate under the eponychial fold. The transverse figure-of-eight suture prevents the nail from moving distally or dorsally. It is simple, secure, and easily taught to non-hand surgeons. This technique can also be used when the eponychium is damaged. It is a useful adjunct to the armamentarium of anyone treating finger-tip injuries.